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Rhode Island rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.08 / $1,685.28 / $1,778.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.98 / $1,854.09 / $2,679.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.25 / $2,014.29 / $3,692.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,838.00 / $5,111.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.94 / $2,002.23 / $3,365.08